Basic Information
Provider Information
NPI: 1669583316
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALLRED
FirstName: JAMES
MiddleName:  
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NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: 1200 N ELM ST
Address2:  
City: GREENSBORO
State: NC
PostalCode: 274011004
CountryCode: US
TelephoneNumber: 3368327000
FaxNumber:  
Practice Location
Address1: 1126 N CHURCH ST STE 300
Address2:  
City: GREENSBORO
State: NC
PostalCode: 274011037
CountryCode: US
TelephoneNumber: 3366635044
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/31/2006
LastUpdateDate: 09/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 09/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X2009-00919NCN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0001X2009-00919NCY Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology

No ID Information.


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